Vaginal Infections Flashcards Preview

FAMILY MEDICINE > Vaginal Infections > Flashcards

Flashcards in Vaginal Infections Deck (18):
1

Thick, whitish discharge, ODORLESS
significant itching
erythematous vaginal area with edema

Candida albicans

2

budding yeast or pseudohyphae on wet mount

Candida albicans

3

Treatment for candida

Vaginal creams, single dose FLUCONAZOLE

4

When to treat partners for Candida

NOT NECESSARY

5

Thin, frothy, green-yellow/gray malodorous discharge
"strawberry" appearing cervix; red and inflamed with punctations

Trichomonas (STD)

6

motile trichomonads and many WBCs on wet mount

trichomonas

7

Treatment for trich

oral metronidazole for both patient AND PARTNER (STD)

8

- thin, homogenous vaginal discharge
- fishy odor on "whiff" test
- clue cells on wet mount
- ALKALINE DISCHARGE (pH>4.5)

bacterial vaginosis (majority from gardernella vaginalis)

9

Treatment for BV

oral metronidazole and/or clindamycin; make sure to treatment even asymptomatic pregnant women too, as it reduces incidence of preterm delivery

10

Purulent or mucopurulent discharge from endocervix, can be associated with cervical/post coital bleeding

Chlamydia/neisseria gonorrhea

11

Gold standard for diagnosing NG/CT STI

culture of vaginal discharge

12

Treatment for NG/CT

treat both together!
NG - ceftriaxione
CT - azithromycin/doxycycline

13

Lower abdominal tenderness, adnexal and cervical motion tenderness, with or without explanation

PID

14

What other findings can suggest PID

fever > 101, abnormal cervical discharge, cultures showing gonarrhea/chlamydia, elevated ESR CRP

15

What to do to differentiate PID and ectopic pregnancy

ALWAYS do pregnancy test when you suspect PID

16

Which vaginal infection is most likely to occur after someone had taken antibiotics for UTI

candida (since antibiotics disrupt vaginal flora, vulnerable to take over from fungi)

treat with fluconazole

17

T/F FLuoroquinolones like cipro are efffective in treating gonorrhea associated conditions

false!! lots of resistance so no longer recommended

18

Regimen for tx of PID

ceftriaxone/cefotoxin + doxy + with or without metro